AMENDMENTS PROPOSED BY THE SENATE COMMITTEE ON COMMERCE AND LABOR

1. Page 1, engrossed, line 51, after a.

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remainder of line 51 and all of line 52

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A description of all types of payment arrangements that the carrier uses to compensate providers for health care services rendered to enrollees, including, but not limited to, withholds, bonus payments, capitation and fee-for-service discounts.

2. Page 2, engrossed, after line 26

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M. The requirements of this section shall apply to all insurance policies, contracts, and plans delivered, issued for delivery, reissued, or extended on or after July 1, 1996 or at any time after the effective date hereof when any term of any such policy, contract, or plan is changed or any premium adjustment is made. In addition, the requirements of this section shall apply to contracts between carriers and providers that are entered into or renewed on or after July 1, 1996.

3. Page 3, engrossed, line 23, after panel.

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The Joint Commission, in cooperation with the Bureau of Insurance, shall also study (i) the extent to which provider panels, which may currently not be subject to state regulation, are forming in the Commonwealth, (ii) the impact that the formation of such provider panels has on the ability of enrollees to receive care from providers not in such panels, (iii) the extent to which these panels enhance or impede the ability of Virginians to access quality, affordable health care and (iv) the need to extend the provisions of § 38.2-3407.10 as added by this act or other relevant code sections to apply to such provider panels.